| NPI | 1669709572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ANDERSON Principal 508-224-5635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |